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SOUTH WESTERN SYDNEY Suicide Prevention Program GP Referral Form REFERRALS RECEIVED AFTER 4.30pm WILL BE ACTIONED ON THE NEXT BUSINESS DAY FAX TO STEPHEN SUICIDE PREVENTION SERVICE: 4623 1796 Date:GP

How to fill out swsphn-clinical-suicide-prevention-gp-referral-form

How to fill out swsphn-clinical-suicide-prevention-gp-referral-form

1. Obtain a copy of the swsphn-clinical-suicide-prevention-gp-referral-form from the South Western Sydney Primary Health Network (SWSPHN) website or office.
2. Fill out the patient's information section with their name, date of birth, address, and contact details.
3. Provide details of the patient's current mental health status, including any suicidal ideation or previous suicide attempts.
4. Indicate the reason for the referral and any relevant background information about the patient's mental health history.
5. Sign and date the form, ensuring all information provided is accurate and up to date.

Who needs swsphn-clinical-suicide-prevention-gp-referral-form?

1. General practitioners and healthcare professionals in the South Western Sydney region who are referring a patient for specialist suicide prevention services.

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What is swsphn-clinical-suicide-prevention-gp-referral-form?

The swsphn-clinical-suicide-prevention-gp-referral-form is a document used to refer patients at risk of suicide to general practitioners for further assessment and intervention.

Who is required to file swsphn-clinical-suicide-prevention-gp-referral-form?

Healthcare professionals, including mental health practitioners and social workers, are required to file the swsphn-clinical-suicide-prevention-gp-referral-form when they identify patients at risk of suicide.

How to fill out swsphn-clinical-suicide-prevention-gp-referral-form?

To fill out the form, practitioners must provide patient details, assess the level of risk, document any immediate interventions taken, and specify referral recommendations.

What is the purpose of swsphn-clinical-suicide-prevention-gp-referral-form?

The purpose of the form is to facilitate timely and appropriate care for individuals at risk of suicide by ensuring that they receive attention from general practitioners.

What information must be reported on swsphn-clinical-suicide-prevention-gp-referral-form?

The information that must be reported includes patient identification details, assessment of risk factors, current mental health status, and recommendations for treatment or intervention.